The local regional medical center is partnering with its home health agency to provide disease management to frequently admitted patients with congestive heart failure (CHF). The administration of the medical center has identified that there are multiple readmissions every month to the same unit. Core measure data indicates that appropriate medical interventions and nursing education has been conducted repeatedly with those patients who continue to seek medical care.
The home health agency is collaborating with the cardiac telemetry unit to identify patients being discharged with the diagnosis of CHF. A case manager is assigned to make follow-up phone calls daily to monitor signs and symptoms of exacerbation. A home health nurse may be assigned to visit the patient if criteria are met.
1. What are the anticipated outcomes of CHF disease management? (Select all that apply.)
e Consumption of disproportionate resources
a. Optimal clinical care across the continuum without regard for cost
b. Interrupted development of disease
c. Reduced emergency department visits and fewer inpatient days
d. Greater client and provider satisfaction
The local regional medical center is partnering with its home health agency to provide disease management to frequently admitted patients with congestive heart failure (CHF). The administration of the medical center has identified that there are multiple readmissions every month to the same unit. Core measure data indicates that appropriate medical interventions and nursing education has been conducted repeatedly with those patients who continue to seek medical care.
The home health agency is collaborating with the cardiac telemetry unit to identify patients being discharged with the diagnosis of CHF. A case manager is assigned to make follow-up phone calls daily to monitor signs and symptoms of exacerbation. A home health nurse may be assigned to visit the patient if criteria are met.
2. What are the anticipated outcomes of CHF disease management? (Select all that apply.)
e. Consumption of disproportionate resources
f. Optimal clinical care across the continuum without regard for cost
g. Interrupted development of disease
h. Reduced emergency department visits and fewer inpatient days
i. Greater client and provider satisfaction
3. What are some of the benefits of the use of telehealth when dealing with case management of disease processes? (Select all that apply.)
a. The client is able to be seen and treated in the comfort of her or his own home.
b. The nurse is able to diagnose and provide medication adjustments if needed.
c. The nurse is able to provide advice, counseling, and referral.
d. Telehealth provides new alternatives within resource delivery options.
e. The provider will benefit from decreased legal liability
Chapter 14
Local home health agencies are meeting to participate in a community-wide disaster drill. Those in attendance are the administrators from six different agencies of a community in central California. The community has identified that it does not lie in an earthquake-prone or flood-prone area. The disasters that occur are generally related to multi-casualty freeway accidents.
The agencies are completing a training drill to plan for their response in the event of a communicable disease outbreak. When they have conducted the drill, each administrator is responsible for educating their staff nurses about the findings and the response plan.
4. What are the considerations for the nurse in responding to a disaster? (Select all that apply.)
j. Advance personal and family preparation can help ease some of the conflicts that arise and allow nurses to attend to client needs sooner.
k. The nurse assisting in disaster relief efforts must be as healthy as possible, both physically and mentally.
l. Young children should not be involved in disaster preparedness because they might experience undue stress and anxiety.
m. One way a nurse can ensure that her family is protected is by providing them with the skills and knowledge to help them cope with a disaster.
n. The nurse maintains awareness that disaster drills are a requirement of the state and not a necessity.
5. One of the essentials for baccalaureate-prepared nurses to understand is disaster preparedness. What is the purpose of an adequately prepared nurse?
a. It is a regulatory requirement that nurses participate in disaster planning.
b. Adequately prepared nurses can assist the public quickly so that they may return to their families.
c. Adequately prepared nurses can serve as leaders and enable others to have a smoother recovery phase.
d. Community health nurses serve as role models and mentors to the community in a disaster.
6. Which of the following interventions is a tertiary prevention measure related to disaster management?
f. Participating in developing a disaster management plan for the community
g. Providing respiratory supplies for response to bioterrorism
h. Assessing disaster victims and providing triage for care
i. Participating in home visits to uncover dangers that may cause additional injury to victims or rescue personnel
SOLUTION
- The anticipated outcomes of CHF disease management include:
c. Reduced emergency department visits and fewer inpatient days d. Greater client and provider satisfaction
- The anticipated outcomes of CHF disease management include:
h. Reduced emergency department visits and fewer inpatient days i. Greater client and provider satisfaction
- The benefits of using telehealth in disease management include:
a. The client is able to be seen and treated in the comfort of her or his own home. c. The nurse is able to provide advice, counseling, and referral. d. Telehealth provides new alternatives within resource delivery options.
- Considerations for the nurse in responding to a disaster include:
j. Advance personal and family preparation can help ease some of the conflicts that arise and allow nurses to attend to client needs sooner. k. The nurse assisting in disaster relief efforts must be as healthy as possible, both physically and mentally. m. One way a nurse can ensure that her family is protected is by providing them with the skills and knowledge to help them cope with a disaster.
- The purpose of an adequately prepared nurse in disaster preparedness is:
c. Adequately prepared nurses can serve as leaders and enable others to have a smoother recovery phase.
- A tertiary prevention measure related to disaster management is:
i. Participating in home visits to uncover dangers that may cause additional injury to victims or rescue personnel